Tattoo as a Possible Trigger for Autoimmune Syndrome Induced by Adjuvants

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Paula David
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Abdulla Watad
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Gilad Halpert
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Yehuda Shoenfeld
Yehuda Shoenfeld

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Tattoo as a Possible Trigger for Autoimmune Syndrome Induced by Adjuvants

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Abstract

Autoimmune/Inflammatory Syndromes Induced by Adjuvants (ASIA) syndrome is a group of immune-mediated disorders and symptoms that may appear in genetically predisposed individuals after environmental exposure to external factors, the adjuvants, such as silicone, aluminium and other metals. Sarcoidosis, one of its classic examples, have been previously described following tattoo. However, tattoo ink is still not recognized as one of the adjuvants capable of triggering the ASIA syndrome. To reinforce our theory, we also described a 32-yearold patient that developed arthralgia, sicca syndrome, small fiber neuropathy, and post orthostatic tachycardia syndrome (POTS) after being exposed to extensive areas of tattoos and propose the tattoo ink as a possible trigger for the ASIA syndrome, questioning its safety in individuals genetically prone for autoimmunity.

References

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Funding

No external funding was declared for this work.

Conflict of Interest

The authors declare no conflict of interest.

Ethical Approval

No ethics committee approval was required for this article type.

Data Availability

Not applicable for this article.

How to Cite This Article

paula_david. 2021. \u201cTattoo as a Possible Trigger for Autoimmune Syndrome Induced by Adjuvants\u201d. Global Journal of Medical Research - F: Diseases GJMR-F Volume 21 (GJMR Volume 21 Issue F1): .

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Journal Specifications

Crossref Journal DOI 10.17406/gjmra

Print ISSN 0975-5888

e-ISSN 2249-4618

Keywords
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GJMR-F Classification: NLMC Code: WD 305
Version of record

v1.2

Issue date

March 28, 2021

Language
en
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Autoimmune/Inflammatory Syndromes Induced by Adjuvants (ASIA) syndrome is a group of immune-mediated disorders and symptoms that may appear in genetically predisposed individuals after environmental exposure to external factors, the adjuvants, such as silicone, aluminium and other metals. Sarcoidosis, one of its classic examples, have been previously described following tattoo. However, tattoo ink is still not recognized as one of the adjuvants capable of triggering the ASIA syndrome. To reinforce our theory, we also described a 32-yearold patient that developed arthralgia, sicca syndrome, small fiber neuropathy, and post orthostatic tachycardia syndrome (POTS) after being exposed to extensive areas of tattoos and propose the tattoo ink as a possible trigger for the ASIA syndrome, questioning its safety in individuals genetically prone for autoimmunity.

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Tattoo as a Possible Trigger for Autoimmune Syndrome Induced by Adjuvants

Paula David
Paula David
Abdulla Watad
Abdulla Watad
Gilad Halpert
Gilad Halpert
Yehuda Shoenfeld
Yehuda Shoenfeld

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